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By Denise Baez DG Alerts A prolonged activated partial-thromboplastin time (aPTT) should not be a barrier to the use of anticoagulation therapies in the prevention and treatment of venous thrombosis in patients with coronavirus disease 2019 (COVID-19), according to a study published in The New England Journal of Medicine. “In our study, most patients with […]
Read MoreAUTHORS: Cook-Sather, Scott D. MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 730-739 BACKGROUND: Prophylactic analgesic administration reduces pain behavior after pediatric bilateral myringotomy and pressure equalization tube placement (BMT). We hypothesized that postoperative pain in children treated with intraoperative ketorolac would, among several exposures of interest, […]
Read MoreAUTHORS: Freundlich, Robert E. MD, MS et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 725-729 BACKGROUND: Although the surgical pause or time-out is a required part of most hospitals’ standard operating procedures, little is known about the quality of execution of the time-out in routine clinical practice. An […]
Read MoreAUTHORS: Shaydenfish, Denys Cand Med et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 685-695 BACKGROUND: The anticholinesterase neostigmine and the muscarinic inhibitor glycopyrrolate are frequently coadministered for the reversal of neuromuscular blockade. This practice can precipitate severe bradycardia or tachycardia, but whether it affects the incidence of cardiovascular […]
Read MoreAuthors: Qisheng Ou, Ph.D. et al Anesthesia Patient Safety Foundation Disclaimer: We aim to present letters from our readership that may generate further discussion on managing patients with COVID-19. Given the novelty of COVID-19, best-available clinical evidence is limited and supported from anecdotal reports from China, South Korea, Italy and other sites, and from studies of […]
Read MoreAuthor: Marie Rosenthal Anesthesiology News The same rules that apply to everyone else outside a hospital—hand hygiene, not touching the face, wiping surfaces and social distancing—should apply on the wards, but wearing personal protective equipment (PPE) properly is paramount, experts have said. Most health care workers effectively wear goggles, a mask, a gown and gloves […]
Read MoreAuthors: Kerckhoffs, Monika C. MD et al Critical Care Medicine: May 2020 – Volume 48 – Issue 5 – p 645-653 Objectives: To develop a consensus framework that can guide the process of decision-making on continuing or limiting life-sustaining treatments in ICU patients, using evidence-based items, supported by caregivers, patients, and surrogate decision makers from multiple countries. […]
Read MoreAuthors: Kim Hathaway, MSN, CPHRM, Patient Safety Healthcare Quality and Risk Management Consultant, and Julie Ritzman, MBA, CPHRM, Vice President, Department of Patient Safety and Risk Management The Doctors Company Restarting elective surgeries and procedures after suspension during the COVID-19 pandemic requires a great deal of planning and consideration of many factors, including those related […]
Read MoreUniversity of Virginia Regular exercise may reduce the risk of acute respiratory distress syndrome, a major cause of death in patients with the COVID-19 virus, a top exercise researcher reports. He is urging people to exercise based on his findings, which also suggest a potential treatment approach. A review by Zhen Yan, Ph.D., of the […]
Read MoreAUTHORS: Bubenek-Turconi, Şerban Ion MD et al Anesthesia & Analgesia: March 2020 – Volume 130 – Issue 3 – p 696-703 BACKGROUND: Consecutive fluid challenges (FCs) are frequently administered to maximize the stroke volume (SV) as part of a goal-directed therapy (GDT) strategy. However, fluid administration may also cause acute hemodilution that might lead to an […]
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